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Blondin-Brosseau Et Al 2021
Blondin-Brosseau Et Al 2021
PII: S0740-0020(21)00045-9
DOI: https://doi.org/10.1016/j.fm.2021.103780
Reference: YFMIC 103780
Please cite this article as: Blondin-Brosseau, M., Harlow, J., Doctor, T., Nasheri, N., Examining the
persistence of human Coronavirus 229E on fresh produce, Food Microbiology (2021), doi: https://
doi.org/10.1016/j.fm.2021.103780.
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2 Produce
4 1- National Food Virology Reference Centre, Bureau of Microbial Hazards, Health Canada,
5 Ottawa, ON, Canada
6 2- Department of Biochemistry, Microbiology and Immunology, Faculty of Medicine,
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7 University of Ottawa, ON, Canada
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9 Corresponding author: Neda Nasheri neda.nasheri@canada.ca
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12 Abstract
13 Human coronaviruses (HCoVs) are mainly associated with respiratory infections. However, there
14 is evidence that highly pathogenic HCoVs, including severe acute respiratory syndrome
15 coronavirus 2 (SARS-CoV-2) and Middle East Respiratory Syndrome (MERS-CoV), infect the
16 gastrointestinal (GI) tract and are shed in the fecal matter of the infected individuals. These
17 observations have raised questions regarding the possibility of fecal-oral route as well as
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19 HCoVs on inanimate surfaces demonstrate that these viruses can remain infectious for hours to
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20 days, however, there is limited data regarding the viral survival on fresh produce, which is
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usually consumed raw or with minimal heat processing. To address this knowledge gap, we
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22 examined the persistence of HCoV-229E, as a surrogate for highly pathogenic HCoVs, on the
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23 surface of commonly consumed fresh produce, including: apples, tomatoes, cucumbers and
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24 lettuce. Herein, we demonstrated that viral infectivity declines within a few hours post-
25 inoculation (p.i) on apples and tomatoes, and no infectious virus was detected at 24h p.i, while
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26 the virus persists in infectious form for 72h p.i on cucumbers and lettuce. The stability of viral
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27 RNA was examined by droplet-digital RT-PCR (ddRT-PCR), and it was observed that there is
29 Keywords
32
33 Introduction
34 Coronaviruses that infect humans (HCoV) belong to alpha and beta genera of the Coronaviridae
35 family. Four common HCoVs (229E, OC43, HKU1, and NL63) are responsible for 10-30% of
36 common cold symptoms that can be mild to moderate (Perlman and Netland. 2009). SARS-CoV-
38 betacoronavirus that uses angiotensin conversion enzyme 2 (ACE-2) for entry into the host cells.
39 ACE-2 is abundantly expressed in the epithelium of the respiratory tract as well as the oral
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40 cavity, intestine and colon (Lamers, et al. 2020, Qian, et al. 2020). It is evident now that a
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41 considerable proportion of COVID-19 patients demonstrate gastrointestinal symptoms including
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nausea, vomiting, diarrhea, and abdominal pain (Cheung, et al. 2020, Zhou, et al. 2020,
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43 Scaldaferri, et al. 2020). SARS-CoV-2 RNA has been detected in more than 50% of patients’
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44 stool specimens (Wolfel, et al. 2020, Wang, et al. 2020, Huang, et al. 2020, Cha, et al. 2020), and
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45 several studies have confirmed that the virus detected in stool is infectious (Xiao, et al. 2020,
46 Zhou, et al. 2020). Moreover, persistent fecal viral shedding has been observed in pediatric
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47 patients (Xu, et al. 2020) and there is evidence that SARS-CoV-2 can replicate productively in
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48 human enteroids and enterocytes (Lamers, et al. 2020, Zhou, et al. 2020). More recently, it was
49 demonstrated that multi-route mucosal inoculation (including oral inoculation) of African green
50 monkeys with SARS-CoV-2 results in infection in both the respiratory and gastrointestinal tract
51 (Hartman, et al. 2020), and orally inoculated golden Syrian hamsters develop respiratory and
52 intestinal infection (Chak-Yiu Lee, et al. 2020). Collectively, these observations suggest that
54 Although the primary route of transmission for HCoVs is inhalation of contaminated respiratory
55 droplets and possible direct contact with contaminated fomites, there is concern that food could
56 also act as a vehicle of transmission if contaminated with HCoVs. Food may become
57 contaminated with HCoVs by contact with body secretions or fluids or by contact with soiled
58 hands. Also, HCoVs may become aerosolized via talking, sneezing, or coughing of food handlers
59 and then be deposited on food surfaces. Food not only may act as a fomite, but can also transport
60 the virus to the potentially susceptible oral cavity and the GI tract (Xu, et al. 2020). There is
61 evidence that certain HCoVs including HCoV-229E and MERS can survive GI conditions
62 including low pH, digestive enzymes and bile (Zhou, et al. 2017). If this is the case for SARS-
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63 CoV-2, the relatively high viral titre in stool and rectal swabs of the infected individuals could be
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64 explained by active viral replication in the GI tract. Furthermore, fecal-oral is the main route of
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transmission for enteric coronaviruses such as swine coronaviruses (Wang, et al. 2019), canine
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66 coronaviruses (Decaro and Buonavoglia. 2011), and equine coronavirus (Pusterla, et al. 2018) ,
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68 Although the results should be cautiously interpreted, China has reported the finding of SARS-
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69 CoV-2 in imported frozen food commodities (Roxanne, 2020; Yusha, 2020), and it was shown
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70 that the isolated virus from imported frozen cod is infectious in tissue culture (Liu, et al. 2020).
71 More recently, genetic evidence was provided that would link COVID-19 resurgence in Beijing
72 to cold-chain food contamination (Pang, et al. 2020). It was also demonstrated that this virus is
73 stable for weeks in cold storage (-80°C to +4°C) on artificially contaminated pork, chicken and
74 salmon (Fisher, et al. 2020). However, there is limited data on HCoVs survival on fresh produce.
75 Contamination of fresh produce may result in the transmission of not only the enteric viruses that
76 are traditionally considered foodborne pathogens, but also possibly respiratory viruses such as
77 adenoviruses, coronaviruses, and influenza viruses that can infect via contact with mucosal
78 membranes (O'Brien, et al. 2020). This is of particular concern for uncooked fruits and
79 vegetables. Additionally, food handlers infected with respiratory viruses could potentially
80 contaminate “cold foods” such as salads and sandwiches (Yepiz-Gomez, et al. 2013), and spread
81 the infection through various routes such as close contact and fomites. Thus, it is imperative to
83 Since working with SARS-CoV-2 requires biosafety level 3 (BSL-3) laboratory containment
84 conditions, the use of surrogate HCoVs have been suggested to expand the current knowledge on
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85 coronavirus survival and inactivation under various conditions (Guillier, et al. 2020). For this
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86 reason, we chose HCoV-229E as a surrogate virus, since it has similar physicochemical
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properties to the more virulent HCoVs responsible for MERS and SARS (Warnes, et al. 2015).
88 In this study, we examined the ability of HCoV-229E to retain infectivity on the surface of select
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89 fruits and vegetables, and thus obtained representative survival data that can be used to conduct
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93 HCoV-229E and human embryonic lung cell line MRC-5 were obtained from the American
94 Type Culture Collection (CCL-171 and VR-740, respectively). Cells were grown at 37°C and
95 5% CO2 in culture media composed of Eagle’s minimal essential medium, supplemented with
97 1% Glutamax-1, 1% non-essential amino acids, and foetal bovine serum (FBS) 5% (v/v).
98 -Sample preparation:
99 Four different produce types, all purchased from local grocery stores in Ottawa, Ontario, were
100 tested: Royal Gala apples, Traditional Series tomatoes, English cucumbers, and Romaine lettuce
101 (PLU code 4173, 4799, 4593, and 4640, respectively). Ten time points were selected, in
102 triplicates: 0h, 0.5h, 1h, 2h, 4h, 6h, 16h, 24h, 48h and 72h. For Romaine lettuce, only 4 time
103 points were tested: 0h, 24, 48h and 72h. Each of the produce items was rinsed with water, dried
104 with Kimwipes and disinfected with 70% ethanol. On the surface of each produce item, a 5cm by
105 5cm square was delimited using tape. For Romaine lettuce, the square was carefully drawn on
106 each leaf to include both the rib and the leafy part. This area was inoculated with 100µL of
107 HCoV-229E (ATCC VR-740, 5×105 PFU/mL). The liquid was spread using the tip of the
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108 pipette, then allowed to fully dry for 1h. After the appropriate time lapse at ambient conditions
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109 (22°C; relative humidity, 30% to 40%), the surface was sampled with a cotton swab, according
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to the ISO/TS 15216-1:2017 (ISO. 2017) method, which was then placed into the MRC-5 culture
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111 media previously described (Nasheri, et al. 2020). Samples were processed immediately after
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112 swabbing.
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115 Viral quantification and survival time were determined by plaque assay using MRC-5 cells. Cells
116 were grown at 37 °C and 5% CO2 in the culture medium previously described for up to three
117 days, before being seeded, transferred into 12-well plates at a targeted concentration of 5×105
118 cells/mL and incubated to reach a confluency of 80-90%. Samples were diluted in culture
119 medium and 100µL of at least two dilutions were used in duplicate to infect the prepared plates
120 for 90 min at 35°C and 5% CO2. Plates were manually rocked every 10 min during the infection
121 phase. Cells were then washed with phosphate buffered saline (PBS) and covered with 2mL of
122 overlay media, composed of a 50/50 mix of 2× culture medium previously described and 0.5%
123 agarose. Plates were incubated at 35°C and 5% CO2 for 3-4 days. Cell monolayers were fixed
124 using 3.7% paraformaldehyde for 4-16 h, freed from overlay plugs by running under tap water
125 and stained with 0.1% crystal violet for 20 min. Plaques were counted for each dilution to
128 Each produce item was artificially inoculated with a serial dilution of the viral stock in triplicate.
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129 At T0, the virus was extracted and assayed by plaque assay as described above. The plaques were
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130 counted for each dilution and results were analyzed to determine the highest dilutions (lowest
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titre) for which plaques were still obtained in triplicate experiments.
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132 - Recovery rate calculation
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133 The recovery efficiency was determined by calculating the ratio between the viral titre recovered
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134 at T0 and the viral titre that was used to inoculate the sample.
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135 Recovery rate (%): × 100
( / )
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137 Viral decay rate was calculated as described previously (Long and Short. 2016). Briefly, linear
138 regressions of the natural logarithm of virus abundance versus time (in hours) was calculated.
139 The slope of the regressions represent the decay rate and when multiplied by 100, represent
140 percentage of infectivity lost per hour. Viral half-life was calculated by dividing ln(2) by the
141 slope.
142 - ddRT-PCR:
143 For each produce item, except lettuce, all triplicates of 10 time points were tested. Viral RNA
144 was isolated using a QIAamp viral RNA kit (QIAGEN) and diluted in sterile molecular biology
145 grade water (Corning). The QX200 ddPCR system (Bio-Rad) was used for quantification and all
146 PCR reactions were prepared using the One-Step RT-ddPCR Advanced Kit for Probes (Bio-Rad
147 Cat# 1864022). Primers used were previously described in (Vijgen, et al. 2005): Forward primer
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150 probe that would complement the primers and be compatible with TaqMan qPCR requirements
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151 (ABI 7700 Users Manual) was designed by using Integrated DNA Technologies (IDT)
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OligoAnalyzer tool. The new probe had the appropriate dissociation temperature and a minimal
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153 likelihood for duplex or hairpin formation: 229E-PR (5’-/56-
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155 contained 5µL of RNA, 1000 nmol/L of each primer, and 280 nmol/L of each probe. All samples
156 were tested in duplicate. Droplets were generated using the QX200 droplet generator (Bio-Rad)
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157 according to the manufacturer’s protocols, and PCR was performed using the following cycling
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158 conditions: an initial reverse transcription at 48°C for 30 min, followed by PCR activation at
159 95°C for 10 min and 45 cycles of amplification (15 s at 95°C and 1 min at 60°C). Droplets were
160 detected in the QX200 droplet reader and analyzed using the Quantasoft version 1.7.4.0917 (Bio-
162 Results
164 As shown in Table 1, the recovery efficiency for infectious HCoV-229E from all the tested
165 commodities is well above 1%, with the highest recovery rate (10.8%) from tomatoes and the
166 lowest (4.1%) from cucumbers. The limit of detection (LOD) for each commodity is determined
167 as the lowest spiking concentration that produced plaques for all three replicates. As indicated in
168 Table 2, the LOD was approximately 125 PFU for tomatoes and apples, and 50 PFU for
169 cucumbers.
171 We artificially inoculated the surface of apples, tomatoes and cucumbers with 5×104 PFU of
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172 HCoV-229E, which is consistent with the amount of virus that is typically exhaled by an infected
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173 individual (Ma, et al. 2020). Figure 1 shows the persistence in infectivity of HCoV-229E at RT
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within 72 h p.i. The change in infectious viral titre is similar in apples and tomatoes with a
175 progressive decline in infectivity up to 16h p.i. (Figure 1, Table 3). No infectious viral particles
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176 were isolated from tomatoes and apples at 24 h p.i., which demonstrates that viral infectivity is
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177 reduced below the LOD (i.e. >3 log reduction). However, infectious viral particles were detected
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178 on cucumbers up to 72 h p.i. Within the first 4 h p.i, viral infectivity reduces over 1 log on
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179 tomatoes and apples (1.18 and 1.27 log, respectively), while the reduction on cucumbers is only
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180 0.75 log (Table 3). The reduction in infectivity is less than 2 log at 24 h p.i on cucumbers and by
181 72 h p.i. reaches approximately 2.5 log. No infectious viral particles were detected on cucumbers
182 at 96 h p.i.
183 The median decay rate of HCoV-229E on apples and tomatoes was similar at 30%/h and 34%/h
184 respectively, while the median decay rate on cucumbers was considerably lower at 7.7%/h. The
185 median half-life of the virus on apples and tomatoes was 2.3h and 2.05h respectively and the
188 compared to cucumbers, but we hypothesized that the difference in surface pH between the
189 examined produce could partly explained this observation. The surface pH of cucumbers (5.7) is
190 considerably higher than the surface pH of tomatoes and apples (4.2 and 3.9, respectively)
191 (McGlynn. 2016). For this reason, we examined viral survival on the surface of Romaine lettuce,
192 which has a surface pH close to cucumbers (5.8) (McGlynn. 2016). As shown in Figure 2,
193 similar to what has been observed for cucumbers, infectious HCoV-229E was consistently
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194 isolated at 24, 48, and 74 h p.i from the surface of lettuce. The gradual pattern of infectivity loss
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195 on lettuce resembles to what has been observed on cucumbers (Figure 2). This might indicate
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that the surface pH might play a role in viral survival at ambient temperature.
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197 Persistence of viral RNA
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198 We next set out to investigate the persistence of viral RNA on the examined produce over 72
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199 h.p.i. at ambient temperature. As demonstrated in Figure 2, no drastic reduction in viral RNA
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200 titre was observed over a 72h p.i. period. On apples, tomatoes, and cucumbers, viral RNA
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201 decreased by approximately 0.7 log, 0.5 log, and 0.3 log, respectively compared to T0,.
202 Altogether, these observations demonstrate that viral RNA is more resistant to degradation
204 Discussion
205 Currently, SARS-CoV-2 is not considered a foodborne virus, and to date, there is no conclusive
207 foodborne investigation is unlikely to be employed with COVID-19 patients. For example, it is
208 unlikely that infected people are asked to recall foods that they may have consumed during the
209 period when they became infected. Without this information, any association between SARS-
210 CoV-2 and foods cannot be made, and understanding the role of foodborne transmission remains
211 elusive. Obtaining this epidemiological information would be helpful for efficient contact-tracing
212 and source-tracking as about half of COVID-19 patients can not recall how and where they
214 In this study, we used the ISO/TS 15216-1:2017 (ISO. 2017) method for the recovery of HCoV-
215 229E from the examined surfaces, and we assessed the recovery rates by plaque assay, which
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216 indicate that the recovered viruses were infectious. The recovery range that we obtained was
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217 from 4.09% to 10.77%, which is significantly higher than 1% recovery rate that is considered
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acceptable by the method. However, we speculate that the recovery efficiency would be higher if
220 Environmental persistence of HCoVs has been examined by different groups, who have obtained
221 contradictory results (Aboubakr, et al. 2020). One study has shown that the stability of SARS-
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222 CoV-2 and SARS-CoV-1 on dry surfaces at RT is similar, with no infectious virus being
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223 retrieved after 72h p.i. (van Doremalen, et al. 2020), while, Chin et al recovered infectious
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224 SARS-CoV-2 from plastic and stainless steel up to 7 days p.i. (Chin, et al. 2020). Keevil and
225 coworkers reported that HCoV-229E remains infectious for 5 days at RT on a range of surface
226 materials including glass and PVC, while it is rapidly inactivated on the surface of copper alloys
227 (Warnes, et al. 2015). In another study, more relevant to this work, it was shown that the
228 infectivity of HCoV-229E is completely abolished within 4 days p.i. on lettuce at 4°C (Yepiz-
229 Gomez, et al. 2013). Recently, it was demonstrated that SARS-CoV-2 remains infectious on
230 salmon at RT for 2 days (Manman. 2020). Herein, we only examined viral survival at ambient
231 temperature and we have shown the infectivity of HCoV-229E is reduced to below LOD
232 followed by 24h incubation on tomatoes and apples, and 96h on cucumbers, and lettuce.
233 At this point, we speculate that the longer survival on cucumbers, and lettuce compared to apples
234 and tomatoes could be partly explained by the difference in surface pH of these commodities.
235 The influence of pH on the stability of several coronaviruses has been studied and it has been
236 shown that in general, coronaviruses are more stable at near neutral pH as compared to acidic or
237 alkaline pH (Aboubakr, et al. 2020). As such, the near neutral surface pH of cucumbers, and
238 lettuce (5.7, and 5.8, respectively), compared to the more acidic surface pH of tomatoes and
239 apples (4.2 and 3.9, respectively), could be more suitable for the survival of HCoV-229E
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240 (McGlynn. 2016). It should also be noted that the LOD on cucumbers was lower compared to
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241 apples and tomatoes (50 PFU compared with 125 PFUs, respectively). Thus, it is possible that
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HCoV-229E remained infectious by 24 h p.i. on apples and tomatoes but the titre was below the
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243 LOD. However, the decay rate on cucumbers is considerably slower compared to apples and
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244 tomatoes (Figure 1 and Table 4), and the viral half-life on cucumbers is very close to the viral
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245 half-life on plastic (van Doremalen, et al. 2020) (9.05h and 9.04h, respectively). Further
246 investigation is needed to determine whether the surface of apples and tomatoes has some
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247 virucidal properties that may lead to a more rapid viral inactivation. Thus, our results are in
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248 accordance with the previous findings that HCoVs lose their infectivity within a few days on
249 inanimate surfaces at RT (Sizun, et al. 2000). Therefore, if produce becomes contaminated with
250 HCoVs through irrigation or contaminated hands during pre- or post-harvest, while being stored
251 at ambient temperature, the risk will be considerably reduced by the time it reaches the
252 consumers. However, if the contamination occurs at the end of the food processing chain, for
253 example by infected personnel in a restaurant setting, where the prepared food is consumed
254 within a few minutes, there is a potential risk for infection (Zelner, et al. 2020, de Wit, et al.
255 2007). Although, to date there is no evidence that ingestion of SARS-CoV-2 could lead to
256 infection.
257 The persistence of viral RNA on the studied produce for several days despite the loss of
258 infectivity, can be explained by the high environmental resilience of the coronavirus shell, which
260 It should be noted that our study involved experimental inoculation of fresh produce with HCoV-
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261 229E, and thus may not be fully representative of potential natural contamination. However, the
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262 infectious titre of virus used for inoculation of samples in the current study is representative of a
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worst-case scenario, if virus was found to be present on fresh produce. Herein, we attempted to
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264 address an important knowledge gap regarding the survival of human coronaviruses on fresh
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265 produce at ambient temperature, although to date, there is no conclusive evidence that food could
266 be a vehicle for SARS-CoV-2 transmission. Potential foodborne transmission poses important
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267 public health implications and may partly explain the possible recurrence of the disease and its
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268 persistent transmission. Thus, our results could support more robust decision‐making concerning
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270 Acknowledgements
271 The authors would like to thank Dr. Brent Dixon and Dr. Franco Pagotto from the Bureau of
272 Microbial Hazards for kindly reviewing the manuscript and providing insightful comments. This
273 study is financially supported by the Bureau of Microbial Hazards, Health Canada
274 Figure legends
275 Figure 1. Persistence of infectious HCoV-229E on commonly consumed fruits and vegetables.
276 Approximately 5×104 PFU HCoV-229E (100 µl viral stock) was applied to the tested surface and
277 incubated at ambient conditions (22°C; relative humidity, 30% to 40%). Virus was extracted and
278 assayed for infectivity at various time points as described in the text. The data represent the
279 average of three independent experiments. Error bars represent standard deviation.
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280 Figure 2. Persistence of infectious HCoV-229E on Rromaine lettuce. Approximately 5×104 PFU
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281 HCoV-229E (100 µl viral stock) was applied to the tested surface and incubated at ambient
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conditions (22°C; relative humidity, 30% to 40%). Virus was extracted and assayed for
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283 infectivity at various time points as described in the text. The data represent the average of three
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285 Figure 3. Persistence of viral RNA on commonly consumed fruits and vegetables.
286 Approximately 2×108 RNA copies of HCoV-229E (100 µl of viral stock) was applied to the
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287 tested surface and incubated at ambient conditions (22°C; relative humidity, 30% to 40%). Virus
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288 was extracted at indicated time points and viral RNA was quantified by ddRT-PCR. The data
289 represent the average of three independent experiments. Error bars represent standard deviation.
290
291
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435 Table 1. Recovered viral titre at T0 and recovery rate in percentage for each produce type. The
436 results are the mean of 3 independent experiments.
Produce Titer at T0 Recovery rate
(PFU/mL) (%)
Apple 1.45E+03 5.81
Tomato 2.69E+03 10.77
Cucumber 1.20E+03 4.09
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439 Table 2. Detection of HCoV-229E on the surface of different produce. Samples were inoculated
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440 with 104 to 101 PFU of HCoV-229E and examined by plaque assay at T0. ND is not detected.
Produce Viral Inoculum (PFU)
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10,000 1000 500 250 125 50 10
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Apple 3/3 3/3 3/3 3/3 3/3 ND ND
Tomato 3/3 3/3 3/3 3/3 3/3 2/3 ND
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72h 3.16 3.43 2.48±0.035
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446 Table 4. Decay rate (DR) in percentage and viral half-life (HL) in hours (h) on each produce
447 type. The results are the median of 3 independent experiments ± Standard Deviation.
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DR (%) HL (h)
Apple 30±0.25 2.3±0.02
Tomato 34±0.1 2.05±0.06
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10000
1000
Viral Titre (PFU/mL)
100 Apples
Tomatoes
Cucumbers
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454 Figure 2.
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Titre (PFU/mL)
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459 Figure 3.
1.00E+09
1.00E+08
1.00E+07
1.00E+06
RNA Copies
1.00E+05
Apples
1.00E+04
Tomatoes
1.00E+03
Cucumbers
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1.00E+02
1.00E+01
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1.00E+00
0h 0.5h 1h 2h 4h 6h 16h 24h 48h 72h
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• HCoV-229E remains infectious on the surface of apples and tomatoes for 16h
• HCoV-229E remains infectious on the surface of cucumbers and lettuce for 72h
• Viral infectivity decay rate is significantly slower on cucumbers compared with apples and
tomatoes
• Viral RNA remains stable on all produce with no significant decrease
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The authors declare no conflict of interest.
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